JOHN G MICKELSON DO
NPI 1497773097
Family Medicine in Lincoln City, OR

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
2930 NE WEST DEVILS LAKE RD STE 3, LINCOLN CITY, OR 97367(541) 557-6427 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John G Mickelson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN G MICKELSON DO (NPI 1497773097) is an individual family medicine provider in Lincoln City, Oregon, licensed in Oregon (DO226460) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fargo, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1990).

NPPES Registry Identity

NPI1497773097
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN G MICKELSONCredential: DO
Location Address2930 NE WEST DEVILS LAKE RD STE 3Lincoln City, OR 97367-5195
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1990
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1497773097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OR · DO226460 Licensed in MN · 34645
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 6205 (ND)
2930 NE WEST DEVILS LAKE RD STE 3, Lincoln City, OR 97367

Secondary Practice Location 1

Location 13838 12th Ave NFargo, ND 58102-2931 · Phone (701) 234-4700 · Fax (701) 234-4757

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John G Mickelson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133176746
PECOS Enrollment IDI20250807003174
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Occupational Medicine)
2930 NE WEST DEVILS LAKE RD STE 3
LINCOLN CITY, OR 97367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Mickelson's NPI number?

The NPI number for John Mickelson is 1497773097. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Mickelson located?

John Mickelson practices at 2930 NE West Devils Lake Rd Ste 3, Lincoln City, OR 97367. The listed phone number is (541) 557-6427.

What is John Mickelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Mickelson enrolled in Medicare?

Yes. John Mickelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Mickelson accept?

Health plans from Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company, Medica, Moda Health Plan, Inc. and Providence Health Plan and 2 other insurers list John Mickelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Mickelson was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.